GREAT LAKES BAY HEALTH CENTERS NPI 1780702571

NPI Information

NPI: 1780702571
Provider Name: GREAT LAKES BAY HEALTH CENTERS

Other Name: GREAT LAKES BAY HEALTH CENTERS JANES STREET

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1522 JANES ST
SAGINAW, MI
ZIP 48601
Phone: (989) 755-0316
Get Directions

GREAT LAKES BAY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Saginaw, MI. GREAT LAKES BAY HEALTH CENTERS NPI is 1780702571. The provider is registered as an organization entity type.
The provider Other Name Is Great Lakes Bay Health Centers Janes Street.

The provider's business location address is:

1522 JANES ST
SAGINAW, MI
ZIP 48601-819
Phone: (989) 755-0316
Fax: (989) 755-0956

The provider's authorized official is Lisa M Galonska .
The authorized official title is Vice President and has the following contact phone number (989) 759-6448.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 9/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0G36111	OTHER	MICHIGAN	0G36111 MEDICARE BILL PAY TO
2	0G36111	MEDICARE PIN	MICHIGAN
3	231811	MEDICARE OSCAR/CERTIFICATION	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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